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Nasal Scope Exam Of The Swallowing Tube With Tissue Sample

Utah rates for HCPCS 43198

This is a diagnostic examination of the swallowing tube (esophagus) using a thin, flexible scope passed through the nose rather than the mouth. During the exam, the physician takes a small tissue sample for further laboratory testing.

Rates data updated July 2026.

How much does Nasal Scope Exam Of The Swallowing Tube With Tissue Sample cost?

$224

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $3,020 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$132 to $302
FacilityA hospital or hospital-owned outpatient department$3,020$1,820 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $191 to $4,571Professionalmedian $224 · 10th to 90th $100 to $513
$100$200$500$1K$2K$5Kfacility $3,020professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$3,019.95
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$223.87
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$229.09
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,819.70
Typical High
$2,818.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$398.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$537.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$275.42
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$309.03

Where Utah sits

The same service costs 1.9 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 11th of 51

$224

MN $331KY $170

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.